

<div id="mypagecolumn">
    <h2 class="title"><!--{$tpl_title|h}--></h2>
    <!--{include file=$tpl_navi}-->
    <div id="mycontents_area">
        <h3><!--{$tpl_subtitle|h}--></h3>
        <p><!--{t string="c_* Do you want to send the information below?"}--><br />
           <!--{t string='c_* Click the "Send" button at the bottom of the page'}--></p>

        <form name="form1" id="form1" method="post" action="?">
        <input type="hidden" name="<!--{$smarty.const.TRANSACTION_ID_NAME}-->" value="<!--{$transactionid}-->" />
        <input type="hidden" name="mode" value="complete" />
        <input type="hidden" name="customer_id" value="<!--{$arrForm.customer_id|h}-->" />
        <!--{foreach from=$arrForm key=key item=item}-->
            <!--{if $key ne "mode" && $key ne "subm"}-->
            <input type="hidden" name="<!--{$key|h}-->" value="<!--{$item|h}-->" />
            <!--{/if}-->
        <!--{/foreach}-->
        <table summary=" " class="delivname">
            <col width="30%" />
            <col width="70%" />
            <tr>
                <th><!--{t string="c_* Name"}--></th>
                <td><!--{$arrForm.name01|h}--> <!--{$arrForm.name02|h}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* Postal code"}--></th>
                <!--{* <td><!--{$arrForm.zip01}-->-<!--{$arrForm.zip02}--></td> *}-->
                <td><!--{$arrForm.zipcode}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* Address"}--></th>
                <td><!--{$arrPref[$arrForm.pref]}--><!--{$arrForm.addr01|h}--><!--{$arrForm.addr02|h}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* Phone number"}--></th>
                <td><!--{$arrForm.tel01|h}-->-<!--{$arrForm.tel02}-->-<!--{$arrForm.tel03}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* FAX"}--></th>
                <td><!--{if strlen($arrForm.fax01) > 0}--><!--{$arrForm.fax01}-->-<!--{$arrForm.fax02}-->-<!--{$arrForm.fax03}--><!--{else}-->Not registered<!--{/if}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* E-mail address"}--></th>
                <td><a href="<!--{$arrForm.email|escape:'hex'}-->"><!--{$arrForm.email|escape:'hexentity'}--></a></td>
            </tr>
            <tr>
                <th><!--{t string="c_* Mobile e-mail address"}--></th>
                <td>
                    <!--{if strlen($arrForm.email_mobile) > 0}-->
                    <a href="<!--{$arrForm.email_mobile|escape:'hex'}-->"><!--{$arrForm.email_mobile|escape:'hexentity'}--></a>
                    <!--{else}-->
                    <!--{t string="c_* Not registered"}-->
                    <!--{/if}-->
                </td>
            </tr>
            <tr>
                <th><!--{t string="c_* Gender"}--></th>
                <td><!--{$arrSex[$arrForm.sex]}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* Occupation"}--></th>
                <td><!--{$arrJob[$arrForm.job]|default:"Not registered"|h}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* Date of birth"}--></th>
                <td><!--{if strlen($arrForm.year) > 0 && strlen($arrForm.month) > 0 && strlen($arrForm.day) > 0}--><!--{$arrForm.year|h}--> / <!--{$arrForm.month|h}--> / <!--{$arrForm.day|h}--><!--{else}--><!--{t string="c_* Not registered"}--><!--{/if}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* Desired password"}--><br />
                </th>
                <td><!--{$passlen}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* Hint for when you have forgotten your password"}--></th>
                <td><!--{t string="c_* Question"}-->:&nbsp;<!--{$arrReminder[$arrForm.reminder]|h}--><br />
                    <!--{t string="c_* Answer"}-->:&nbsp;<!--{$arrForm.reminder_answer|h}--></td>
            </tr>
            <tr>
                <th><!--{t string="c_* About delivery of the mail magazine"}--></th>
                <td><!--{$arrMAILMAGATYPE[$arrForm.mailmaga_flg]}--></td>
            </tr>
        </table>

        <div class="btn_area">
            <ul>
                <li>
                    <a class="bt04" href="?" onclick="fnModeSubmit('return', '', ''); return false;"><!--{t string="c_* Go back"}--></a>
                </li>
                <li><button class="bt02"><!--{t string="c_* Send"}--></button></li>
            </ul>
        </div>
        </form>
    </div>
</div>
